As the parent or legal guardian of the child named above, I hereby
give my full consent and approval for my child to participate as a team member
in the sport designated below.
I understand that there are certain risks of injury inherent
in the practice and play of this sport, as well as in traveling and other
related activities incidental to my child’s participation, and I am willing to
assume these risks on behalf of my child. I hereby certify that my child is fully
capable of participating in the designated sport and that my child is healthy
and has no physical or mental or conditions that would restrict full
participation in these activities, except as listed.
In addition to giving my full consent for my child’s
participation, I do hereby waive, release, and hold harmless The Cut Off Youth
Center, its officers, coaches, sponsors, supervisors, and representatives for
any injury that may be suffered by my child in the normal course of
participation in the designated sport and the activities indicated thereto,
whether the result of negligence or any other cause.
Designated Sport: Cut Off Youth Center Hurricane Swim
Team